The Clinical Skills Inventory contains a listing of clinical problems and procedures that are routinely seen in ambulatory care settings. The Inventory can be used by students to define learning objectives, and to make self-assessments both at the beginning and at the end of the clerkship. Teachers can use the Inventory in much the same way: to identify skills and procedures they want the students to learn or focus on and to measure progress in mastering these tasks. This is an excellent way to establish mutual expectations for the course. During your orientation, ask your site coordinator if he/she wishes to review the clinical skills inventory with you. Some coordinators do not review the clinical skills inventory with the student.
Directions
1. Students place an (X) in the appropriate column to the right of the listed items indicating their level of experience with a given skill or procedure.
Categories on the Inventory are as follows:
_ No experience: Column marked (NE)
_ Observed only or limited experience: Column marked (O/L)
_ Considerable experience: Column marked (CE)
Definitions for levels of experience are intentionally broad.
Discuss more precisely with your clinical teachers what you mean by "limited" and "considerable" experience.
2. At the end of your clerkship, review the list again. Using a different color ink, make new check marks in each of the categories and evaluate your own progress during the clerkship.
If you have questions regarding the Clinical Skills Inventory, talk with your Site Coordinator or call Tom Greer, M.D in Seattle at 206.543.9425.
CLINICAL SKILLS INVENTORY FORM
DATA GATHERING AND ORGANIZATION SKILLS
| * History Taking | NE | O/L | CE |
| General medical history | |||
| Drug/alcohol history | Exercise/diet history | ||
| Family function assessment | |||
| Geriatric functional assess | |||
| Prenatal history | |||
| Pediatric interview | |||
| Psychiatric assessment | |||
| Prevention and risk assess | |||
| Home/environ assess |
| * Organization | NE | O/L | CE |
| PO medical record | |||
| Dictation of medical record | |||
| Presentation | |||
| Telephone triage |
PHYSICAL EXAM SKILLS
| * Branching/Speciality Exams | NE | O/L | CE |
| Pre and postnatal exam | |||
| Newborn exam | |||
| Infant exam | |||
| School-age child exam | |||
| Adolescent exam | |||
| Cardiovascular exam | |||
| Musculoskeletal exam | |||
| Pulmonary exam | |||
| Gastrointestinal exam | |||
| Neurological exam | |||
| Pelvic exam | |||
| Breast exam | |||
| Male genital exam | |||
| Prostate exam | |||
| Visual acuity | |||
| Other (specify): | |||
| ____________________________ | |||
| ____________________________ | |||
| ____________________________ |
PATIENT MANAGEMENT SKILLS
| * Prescription Writing/Patient Education | NE | O/L | CE |
| Nutrition and diet education | |||
| Self- testicular exam | |||
| Self-breast exam | |||
| Exercise | |||
| Other self-monitoring for at risk patients (specify): | |||
| ____________________________ | |||
| ____________________________ | |||
| * Obtaining Informed Consent for Procedures | |||
| * Assessing Compliance | |||
| * Selecting and Negotiating with Consultants | |||
| * Community Service | |||
| *Individual Counseling | |||
| Depression | |||
| Anxiety | |||
| Family Planning | |||
| Parenting problems | |||
| Grief reaction | |||
| Substance Abuse: | |||
| cigarettes | |||
| alcohol | |||
| drugs | |||
| food | |||
| Other (specify): | |||
| ___________________________ | |||
| ___________________________ | |||
| * Group/Family Counseling | |||
| * Psychosocial Therapeutics | |||
| Crisis intervention | |||
| Behavior modification | |||
| Stress reduction/relaxation | |||
| Confrontation/intervention |
COMMON PROBLEMS MANAGEMENT
| Chronic obstructive pulmon. | |||
| Depression | |||
| Dermatitis eczema | |||
| Diabetes mellitus | |||
| Gastroenterology (peds.) | |||
| Headaches | |||
| Health maintenance: | |||
| Adult | |||
| Pediatric | |||
| Pregnancy care | |||
| Hypertension | |||
| Ischemic heart dx.(angina) | |||
| Lacer./abrasion/contusion | |||
| Low back pain | |||
| Lower respiratory infection | |||
| Otitis media | |||
| Sprains, strains | |||
| Upper respiratory infection | |||
| Urinary tract infection | |||
| Vaginitis |
PERFORMANCE/INTERPRETATION OF LABS AND OTHER INVESTIGATIONS
| KOH and saline preps | |||
| Gram stain | |||
| Urinalysis | |||
| ECG | |||
| Perform lumbar puncture | |||
| Chest x-rays | |||
| Other x-rays (specify): | |||
| ___________________________ | |||
| ___________________________ | |||
| Stress tests | |||
| Tympanogram | |||
| Give Injection | |||
| Give/Interpret Tine /PPD | |||
| Pregnancy test | |||
| Other (specify): | |||
| ___________________________ | |||
| ___________________________ |
PROCEDURAL SKILLS
| * Cardiovascular | NE | O/L | CE |
| Venipuncture | |||
| Start IV | |||
| Cardiopulm.arrest proced. | |||
| * Pulmonary | |||
| Office Pulm.function test | |||
| * Gastrointestinal | |||
| Sigmoidoscopy | |||
| * Genitourinary | |||
| Catherization: | |||
| male | |||
| female | |||
| Neonatal circumcision | |||
| Vasectomy | |||
| Obtain GC and chylamida cultures | |||
| * EENT | |||
| Cerumen removal | |||
| Foreign body removal (eye) | |||
| Epistaxis control - initial | |||
| Audiometry | |||
| Tympanometry | |||
| Tonometry | |||
| Other (specify) | |||
| ___________________________ | |||
| ___________________________ |
| * OB/GYN | NE | O/L | CE |
| Pap smear | |||
| Normal delivery | |||
| IUD insertion | |||
| Diaphragm fitting | |||
| Therapeutic abortion | |||
| Episiotomy repair | |||
| Interpret fetal monitoring | |||
| * Musculoskeletal | |||
| Taping ankle | |||
| Application of splints | |||
| Application of casts | |||
| Removal of casts | |||
| Injection of trigger point | |||
| Arthrocentesis | |||
| * Dermatology | |||
| Skin biopsy | |||
| Minor plastics/sutures | |||
| Excision/superficial lesions | |||
| Treatment of l_ and 2_ burns | |||
| Appl'c. of liquid nitrogen | |||
| Digital block & local anest. | |||
| Treatment ingrown toenail | |||
| Incision/drainage of abscess | |||
| Fulguration |